Provider Demographics
NPI:1992307185
Name:NOGUERAS, MARY H
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:H
Last Name:NOGUERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2337 HIGHWAY 139 LOT 36
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-6669
Mailing Address - Country:US
Mailing Address - Phone:318-737-6244
Mailing Address - Fax:
Practice Address - Street 1:2337 HIGHWAY 139 LOT 36
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6669
Practice Address - Country:US
Practice Address - Phone:318-737-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health